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CITY OF EVERETT DATE: �y - 2 O - 8 9 <br />ELECTRICAL WIRING PERMIT APPLICATION FEE: G� <br />JOB ADDRESS 3 SO t /-"E 01" ✓X , <br />TENANT <br />PROPERTY OWNER (''f/.4AP/ <br />ELECTRICAL CONTRACTOR _1 4 G r 1 _ <br />ELEC. CONTRACTOR'S MAILING ADDRESS <br />LICENSE NO. EXPT_RA71ON DATE <br />ADMINISTRATOR PHONE NO. <br />VALUE OF WORK f S O• o o (do not include taxes) <br />(for commercialW <br />USE OF BUILDING /Q f r J r 4 i <br />NOTE: WAC 296-46-140 reouires that plans for electrical work at educational, <br />institutional or health care facilities be approved by the State of <br />Washington. Applicants with such jobs oust show the State -approved plans <br />before a City of Everett permit will be issued. <br />WORK TO BE DONE: <br />6P4d ( 4 /�ik %u.P4.J <br />SIGNED : / L, it ./ems. (f . 1y([_�__ DATE <br />NOTES AND COMMENTS: <br />9 - zcc- 89 <br />